Also known as: Pituitary tumor
A transgender man with a pituitary prolactinoma that rapidly doubles in size after he becomes pregnant. The tumor causes elevated prolactin levels and visual field loss, requiring urgent craniotomy when initial transsphenoidal surgery becomes impossible.
Also known as: Unplanned pregnancy
Unexpected pregnancy in a transgender man on testosterone replacement therapy, which triggers rapid growth of his prolactinoma and creates complex medical and personal decisions about continuing the pregnancy while managing the tumor.
Also known as: HOCM
A Black woman with undiagnosed HOCM presenting with hypertensive crisis and delirium. Initially misdiagnosed as untreated chronic hypertension, leading to inappropriate treatment with ACE inhibitors that precipitated cardiogenic shock. Required open myectomy complicated by complete heart block requiring pacemaker placement.
Also known as: High blood pressure emergency
Acute presentation of severe hypertension (210/120) with delirium as the initial manifestation of underlying HOCM, initially attributed to medication noncompliance.
Also known as: Heart failure from brain injury
Acute cardiac failure precipitated by inappropriate ACE inhibitor therapy in a patient with HOCM, requiring temporary mechanical circulatory support with Impella pump.
Also known as: Air bubbles in blood vessels
Intraoperative complication during pterional craniotomy when air entered circulation through exposed bone, causing hemodynamic instability requiring emergent aspiration.
Also known as: Complete heart block
Iatrogenic complication from myectomy where excessive septal muscle resection damaged cardiac conduction system, requiring dual chamber pacemaker implantation.
Also known as: PTSD
Dr. Browne struggles with PTSD symptoms following the pandemic surge, manifesting as work performance concerns and interpersonal difficulties. She begins treatment with sertraline by episode end.